A randomised trial to investigate X-prep, oral mannitol and colonic washout for double-contrast barium enema.
Three methods of bowel preparation used prior to double contrast barium enemas were compared by a randomised trial in 60 patients. Evaluation was by radiological review and from a patient questionnaire. The preparations included X-Prep liquid with colonic washout, oral mannitol alone and oral mannitol with colonic washout. Adequacy of preparation as judged by faecal residue was significantly better after X-Prep than in either group receiving mannitol. The more severe purgation with mannitol did not result in better clearance of the large bowel and the addition of a colonic washout to mannitol did not reduce faecal residue. Side-effects and adverse comments were more common after mannitol. Diarrhoea was significantly less after X-Prep than after mannitol.
D000880:Anthraquinones / Q000627:therapeutic use; D001466:Barium Sulfate; D003106:Colon / Q000000981:diagnostic imaging*; D004733:Enema; D006801:Humans; D008353:Mannitol; D008722:Methods; D011859:Radiography; D011897:Random Allocation; D007507:Therapeutic Irrigation
D000880:Anthraquinones; D001466:Barium Sulfate; D008353:Mannitol; C029418:X-prep